{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T07:53:09Z","timestamp":1792050789684,"version":"4.4.0"},"reference-count":33,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to examine the impact of stability-focused core muscle strength training coupled with respiratory techniques on diminishing the inter-recti distance (IRD) among postpartum women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 106 women diagnosed with diastasis recti abdominis within 42 days following delivery were 1:1 randomly allocated into a control group (\n                      <jats:italic>n<\/jats:italic>\n                      = 53) and an intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      = 53). Both groups underwent standard postpartum follow-up care and independently pursued self-directed rehabilitation exercises. Additionally, the intervention group commenced a 6-week program of core muscle strength stability-oriented breathing training 42 days postpartum. Measurements of IRD were taken both pre- and post-intervention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Prior to the intervention, no statistically significant difference in IRD was observed between the two groups (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; 0.05). Subsequent to the intervention, notable reductions in IRD measurements were evident above, at the level of, and below the umbilicus in both groups compared to baseline measurements (intervention group:\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001 at all measured points; control group:\n                      <jats:italic>P<\/jats:italic>\n                      = 0.035 above the umbilicus,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001 at the level of, and below the umbilicus). However, the intervention group exhibited a more pronounced decrease in IRD at all measured points when compared to the control group, demonstrating statistical significance with\n                      <jats:italic>P<\/jats:italic>\n                      = 0.000.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Core muscle strength stability-oriented breathing training demonstrates efficacy in reducing IRD among postpartum women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/med-2025-1164","type":"journal-article","created":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T13:19:26Z","timestamp":1740748766000},"source":"Crossref","is-referenced-by-count":5,"title":["Core muscle strength and stability-oriented breathing training reduces inter-recti distance in postpartum women"],"prefix":"10.1515","volume":"20","author":[{"given":"Chao","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Rehabilitative Medicine, Shanghai Pudong New Area Tang Zhen Community Health Service Center , Shanghai , 201210 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huai-ming","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Prevention and Control, Shanghai Yangpu District Mental Health Center , Shanghai , 200093 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Rehabilitative Medicine, Shanghai Pudong New Area Tang Zhen Community Health Service Center , No.75 of Innovation Middle Road, Pudong New Area , Shanghai , 201210 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua-ping","family":"He","sequence":"additional","affiliation":[{"name":"Department of Rehabilitative Medicine, Shanghai Pudong New Area Tang Zhen Community Health Service Center , Shanghai , 201210 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen-yu","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Rehabilitative Medicine, Shanghai Pudong New Area Tang Zhen Community Health Service Center , Shanghai , 201210 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-qin","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Rehabilitative Medicine, Shanghai Pudong New Area Tang Zhen Community Health Service Center , Shanghai , 201210 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhao-hui","family":"Geng","sequence":"additional","affiliation":[{"name":"College of Nursing, Shanghai University of Traditional Chinese Medicine , Shanghai , 201203 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan-xia","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Rehabilitative Medicine, Shanghai Pudong New Area Tang Zhen Community Health Service Center , Shanghai , 201210 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2025,2,28]]},"reference":[{"key":"2025122201304096623_j_med-2025-1164_ref_001","unstructured":"Hall H, Sanjaghsaz H. 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